Die Aplasie der Vena cava inferior als Ursache rezidivierender Bein- und Beckenvenenthrombosen

VASA ◽  
1999 ◽  
Vol 28 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Tiesenhausen ◽  
Amann ◽  
Thalhammer ◽  
Aschauer
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Heart Defects ◽  
Vena Cava ◽  
Clinical Signs ◽  
Vena Cava Inferior ◽  
Caval Vein ◽  
Rare Finding ◽  
Thrombotic Complications ◽  
Asplenia Syndrome

Congenital anomalies of the caval vein are often associated with other abnormities such as heart defects, situs inversus or a polysplenia-asplenia-syndrome. An isolated, congenital malformation like aplasia of the inferior vena cava is a rare finding. A review of the embryology and abnormities, diagnostics, clinical signs and treatment is given together with the histories of two patients having thrombosis of the lower extremities and pelvic veins, caused by aplasia of the inferior vena cava. After thrombotic complications caused by vena cava aplasia there is high risk of recurrence. Those patients should be anticoagulated for lifetime.

scholarly journals Inferior Vena Cava Filter Retrieval Trends: A Single-Center Experience

TH Open ◽  
2021 ◽  
Vol 05 (01) ◽  
pp. e73-e80
Author(s):  
Filip Ionescu ◽  
Nwabundo Anusim ◽  
Eva Ma ◽  
Lihua Qu ◽  
LeAnn M. Blankenship ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Initial Increase ◽  
Single Institution ◽  
Risk Of Death ◽  
Single Center Experience ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters ◽  
Thrombotic Complications

AbstractRecognition of the adverse events of inferior vena cava filters (VCFs) has prompted the Food and Drug Administration (FDA) to issue safety warnings (2010 and 2014), advocating for removal, once the risk of pulmonary embolism has abated. Despite an initial increase in retrieval rates, these remain low (25–30% at 1 year in 2014). We retrospectively investigated retrieval trends in adults with VCFs placed between 2015 and 2018 at a single institution. The rate of retrievable VCF removal accounting for the competing risk of death was the main outcome. There were 494 VCFs placed (305 retrievable). The cumulative incidence of retrieval remained low (21% at 1 year), even after the second FDA warning (2014). Patients who resumed anticoagulation (AC) at any time were more likely to have retrieval (hazard ratio [HR] = 3.6, p < 0.01) and had higher retrieval rates at every time point (31.4 vs. 7.6% at 1 year). Advanced age (HR = 0.98 per year, p = 0.004), stroke (HR = 0.28, p = 0.028), and active malignancy (HR = 0.42, p = 0.006) predicted nonretrieval. Device-related complications were infrequent (<1%) but thrombotic complications occurred early and were more common for nonretrieved VCFs (17 vs. 12%, p = 0.29). Revision of guidelines to recommend active surveillance for the ability to tolerate AC in the immediate postimplantation period may improve retrieval rates.

Ultrasound Assessment of Inferior Vena Cava Collapsibility Is Not a Valid Measure of Preload Changes During Triggered Positive Pressure Ventilation: A Controlled Cross-Over Study

2011 ◽  
Vol 33 (02) ◽  
pp. 152-159 ◽  
Author(s):  
P. Juhl-Olsen ◽  
C. Frederiksen ◽  
E. Sloth
Keyword(s):  
Inferior Vena Cava ◽  
Pressure Support ◽  
Positive Pressure Ventilation ◽  
Inferior Vena ◽  
Vena Cava ◽  
Positive Pressure ◽  
Vena Cava Inferior ◽  
Valid Measure ◽  
Eine Hohe ◽  
Ultrasound Assessment

Zusammenfassung Ziel: Die respiratorischen Veränderungen im Durchmesser der Vena cava inferior (IVC) wurden durch Messung des Volumenstatus und der Vorlastreagilibität während der Spontanatmung und maschinellen Beatmung bewertet. Allerdings erhalten viele Intensivpatienten eine getriggerte Überdruckbeatmung (PPV). Bei dieser Anwendung gibt es keinen Beweis dafür, dass die „Collapsibility“ der IVC (IVCc) als Ersatz für die Vorlast dient. Unser Ziel war es zu klären, welche Auswirkungen die stufenweise Erhöhung der getriggerten PPV und die unterschiedlichen Vorlast-Bedingungen auf die IVCc haben. Material und Methoden: 10 gesunde Freiwillige wurden an ein Beatmungsgerät mit festsitzender Maske angeschlossen und nach der Basismessung drei verschiedenen Stufen des positiven endexspiratorischen Drucks (PEEP) und der Druckunterstützung (Pressure support, PS) ausgesetzt. Alle Einstellungen des Beatmungsgeräts wurden bei neutraler Vorlast (Horizontalposition), niedriger Vorlast (reverse Trendelenburg-Lage) und hoher Vorlast (Trendelenburg-Lage mit intravenöser Flüssigkeits-Bolusinjektion) durchgeführt. Bei jeder Einstellung des Beatmungsgeräts wurde die IVC während mindestens einem respiratorischen Zyklus durch drei häufig benutzte Ultraschallmethoden dargestellt, darunter der sagittale M-Modus und die 2D-Echokardiografie sowohl in Sagittal- als auch in Transversalansicht. Ergebnisse: Bei ansteigender PS verminderte sich die IVCc (p = 0,01) in der reversen Trendelenburg-Lage, steigender PEEP verursachte eine höhere IVCc in der Trendelenburg-Lage (p = 0,02). In Horizontalposition wurden keine signifikanten Auswirkungen einer steigenden PS, PEEP oder einer Kombination aus beiden beobachtet. Insgesamt zeigte die ANOVA Analyse, dass die IVCc nicht unabhängig von der Vorlast ist. Unter PPV war die IVCc bei neutraler Vorlast mit den meisten Einstellungen des Beatmungsgeräts am höchsten, die IVCc war bei niedriger Vorlast am niedrigsten, während eine hohe Vorlast in der Regel die ICVc zwischen neutraler und hoher Vorlast ermöglichte. Darüber hinaus überschätzte der sagittale M-Mode und die transversale 2D-Echokardiografie die IVCc im Vergleich zur sagittalen 2D-Echokardiografie. Schlussfolgerung: Die erhobenen Ergebnisse dieser Studie zeigen, dass die IVCc nicht als gültiger Parameter für den Vorlaststatus während der PPV angesehen werden kann. Das könnte durch die systematischen Veränderungen der anderen IVCc-Einflussgrößen erklärt werden. Der Vergleich der Methoden ermutigt dazu, die sagittale 2D-Echokardiografie zur dynamischen Darstellung der IVC einzusetzen. Im Vergleich zur sagittalen 2D-Echokardiografie überschätzen der sagittale M-Mode und die transversale 2D-Echokardiografie die IVCc.

scholarly journals VENA RENAL IZQUIERDA RETRO-AÓRTICA. Retro-aortic left renal vein

2016 ◽  
Vol 5 (2) ◽  
pp. 92-96
Author(s):  
Alejandro M Russo
Keyword(s):  
Inferior Vena Cava ◽  
Abdominal Aorta ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Clinical Implications ◽  
Vena Cava Inferior ◽  
Venous Anatomy ◽  
Renal Hilum

El conocimiento de la anatomía venosa del riñón y sus variaciones es esencial para realizar cualquier tipo de procedimiento en la región. Se reporta una variante del árbol venoso del riñón izquierdo, encontrado durante la disección cadavérica, la vena renal izquierda retro-aórtica. Se trató de un tronco único originado a nivel del hilio renal izquierdo que discurrió por detrás de la arteria aorta abdominal para finalizar en la vena cava inferior. La existencia de este vaso se asocia a la embriología de la vena cava inferior. Se discuten aspectos quirúrgicos, radiológicos y embriológicos de su persistencia. Otras implicancias clínicas también son comentadas. Understanding of the renal venous anatomy and its variations is essential to perform any procedure in the region. We report a variation of the left renal venous tree found during a cadaveric dissection, the retro-aortic left renal vein. It was a unique venous trunk that emerged from the left renal hilum and traveled dorsally to the abdominal aorta before reaching the inferior vena cava. The existence of this vessel is associated to the embryology of the inferior vena cava. We discuss the surgical, radiological and possible embryological aspects. Other clinical implications are also considered. 

Duplication of the inferior vena cava with thrombotic complication: incidentally detected

2020 ◽  
Vol 13 (9) ◽  
pp. e232307
Author(s):  
Fode Bangaly Oulare ◽  
Robert Karl Josef Clemens ◽  
Thomas Pfammatter ◽  
Thomas Oleg Meier
Keyword(s):  
Image Analysis ◽  
Inferior Vena Cava ◽  
Clinical Manifestation ◽  
Inferior Vena ◽  
Vena Cava ◽  
Thrombotic Complication ◽  
Caval Vein ◽  
Vein Thrombosis ◽  
The Right

Although the duplication of the inferior vena cava (IVCD) is usually clinically silent and often detected incidentally by image analysis, it may have important relevance during retroperitoneal surgery and endovenous procedures. Furthermore, IVCD may represent the primary provocating factor of unilateral iliofemoral vein thrombosis in patient with hypoplasia or thrombosis of one of the caval veins. This was the case in a 37-year-old man with acute painful swelling of the right leg. The patient was treated successfully by endovenous reconstruction of the occluded caval vein. A review of the pathophysiology, clinical manifestation and treatment of the IVCD is provided here.

Leiomyosarcoma of the inferior vena cava presenting as a left-sided variocele

2004 ◽  
Vol 19 (2) ◽  
pp. 92-94
Author(s):  
Y Masannat ◽  
J Al-Koteesh ◽  
U Sharaf ◽  
H Evans
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Clinical Signs ◽  
Common Site ◽  
Left Groin ◽  
Great Vessels

Leiomyosarcomas of the great vessels are rare, but the most common site for them is the inferior vena cava. Due to non-specific clinical signs, diagnosis is usually late. At present, surgery is the treatment of choice. This is a case report of a 44-year-old man who presented with left groin discomfort and a left varicocele which were secondary to leiomyosarcoma of the inferior vena cava.

scholarly journals ANALYSIS OF EFFICIENCY OF DIFFERENT METHODS OF TREATMENT OF PATIENTS WITH ACUTE THROMBOSIS IN THE INFERIOR VENA CAVA

2020 ◽  
pp. 26-30
Author(s):  
V. A. Prasol ◽  
D. V. Oklei ◽  
I. A. Taraban
Keyword(s):  
Inferior Vena Cava ◽  
Thrombolytic Therapy ◽  
Inferior Vena ◽  
Vena Cava ◽  
Clinical Signs ◽  
Lower Limbs ◽  
Long Term Results ◽  
Acute Thrombosis ◽  
Systemic Thrombolytic Therapy

Summary. Research aim. To estimate efficiency of thromboclasis and anticoagulating therapy for patients with DVT of pelvis and lower limbs and to determine the severity of CVI caused by PTD in the long term. Material and methods. 138 patients with thrombosis in the system of the inferior vena cava were examined and treated. Results and discussion. Thrombolytic therapy (TLT) as a basic method of treatment was used in 52 (37.7 %) patients. 20 (14.5 %) patients undergone catheter-controlled thrombolysis(CCT) and 32 (23.2 %) patients had systemic thrombolytic therapy. 86 (62.3 %) patients in the basic treatment had anticoagulant therapy (ACT). In the long-term results of TLT significantly exceed the results of ACT. 70 % of these patients had signs of postthrombotic disease (PTD) with mild chronic venous insufficiency(CVI), and 100 % of patients with ACT had more severe forms of PTD. Conclusions. Application of TLT for patients from with DVT of the pelvis and lower limbs resulted in rapid regress or complete removal of basic clinical signs of venous thrombosis. Instrumental methods of research, such as Doppler ultrasonography and color duplex scanning, as well as X-ray contrast phlebography are the only informative methods for assessing the process of dissolution of blood clots, the functional state of deep veins of the pelvis and lower limbs during CCT.

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